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Bradley Thomas Brown, LAC
Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota
NPI 1982796074

Bradley Thomas Brown is an Addiction (Substance Use Disorder) Counselor based in West Fargo, ND and is specialized in Addiction (Substance Use Disorder). Bradley Thomas Brown practices in Fargo, ND and has the professional credentials of LAC. The NPI Number for Bradley Thomas Brown is 1982796074 and holds a License No. 1332 (North Dakota).

The current practice location address for Bradley Thomas Brown is 2624 9Th Ave S, Fargo, ND and can be reached out via phone at 701-298-4500 and via fax at 701-298-4400.

Location: 2624 9Th Ave S, Fargo, ND, 58078-4271
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Provider Profile Details
NPI Number
1982796074
Provider Name
Bradley Thomas Brown
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
2624 9Th Ave S, Fargo, ND, 58078-4271
Phone Number
701-298-4500
Fax Number
701-298-4400
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21466 01 ND BCBS
412781020163 01 PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
2624 9Th Ave S
City
State
Zip
58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
person
Provider Business Mailing Address Details
Address
2624 9Th Ave S
City
State
Zip
58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1332 (North Dakota)
Definition
Definition to come...
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